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Home My WebLink About2005-005 Contract - Esa Inc CITY OF ASHLAND CITY OF ASHLAND 20 East Main Street Ashland, Oregon 97520 Telephone: (541) 488-6,002 FAX: (541) 488-5311 PERSONAL SERVICES CONTRACT FOR SERVICES LESS THAN $25.000 CONSULTANT: ESAINCORPORATED JERRY WITKOWSKI 1600 SW WESTERN BOULEVARD STE 160 CORVALLIS OR 97333 541/752-2829 EXT 23 541/752-4830 ADDRESS TELEPHONE FAX: BEGINNING DATE: JANUARY 3,2005 COMPLETION DATE: APRIL 4,2005 COMPENSATION: NTE 490.60- 1/01 '(/o,I!).IA~ SERVICES TO BE PROVIDED: SEE ATTACHED PROPOSAL DATED SEPTEMBER 14, 2004 FROM JERRY WITKOWSKI ADDITIONAL TERMS CITY AND CONSULTANT AGREE: 1. All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such service. 2. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel assigned to the work required under this contract are fully qualified to perform the service to which they will be assigned in a skilled and workerlike manner and, if required to be registered, licensed or bonded by the State of Oregon, are so registered, licensed and bonded. 3. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated above and complete the service by the completion date indicated above. 4. Compensation: City shall pay Consultant for service performed, including costs and expenses, the sum specified above. Once work commences, invoices shall be prepared and submitted by the tenth of the month for work completed in the prior month. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely terminated, payml~nts will be made for work completed and accepted to date of termination. 5. Ownership of Document5~: All documents prepared by Consultant pursuant to this contract shall be the property of City. 6. Statutory Requirements: ORS 279.312, 279.314, 279.316 and 279.320 are made part of this contract. 7. Living Wage Requirements: If the amount of this contract is $15,964 or more, Consultant is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in this chapter, to all employees performing work under this contract and to any subcontractor who performs 50% or more of the service work under this contract. Consultant is also required to post the attached notice predominantly in areas where it will be seen by all employees. 8. Indemnification: Consultant agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from injury to any person (including injury resulting in death), or damage (including loss or destruction) to property, of whatsoever nature arising out of or incident to the performance of this contract by Consultant (including but not limited to, Consultant's employees, agents, and others designated by Consultant to perform work or services attendant to this contract). Consultant shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other damages, directly, solely, and proximately caused by the negligence of City. 9. Termination: This contract may be terminated by City by giving ten days written notice to Consultant and may be terminated by Consultant should City fail substantially to perform its obligations through no fault of Consultant. 10. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City. Consultant shall have the complete responsibility for the performance of this contract. Consultant shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this contract. Consultant is a subjE!ct employer that will comply with ORS 656.017. 11. Assignment and Subcontracts: Consultant shall not assign this contract or subcontract any portion of the wor without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Consultant shall be fully responsible for cts 0 i sions of any assigns or subcontractors and of all ersons em 10 ed b them, and the approval by City of any assignment or subcontract shall not create an c r al 0 between the assi nee or subcontractor and Ci CONSULTANT: CITY S BY ;Jo!'~7 a../~#f~~ BY I TITLE~":"" (' _r.... /~ 7"'.u- DATE /2/U /-zeof . / I FederallD # (;2 - /:p-9~ ~ G.. 2. BY Or Social Security # lZI ~C~ DI&QCTOR DATE: __~ 16~ ( CONTENT REVIEW: $I ~/~ DATE: I /~!J..DEPARTMENT. D~ Ci 7~ 4/~ /q~~ ~ 4</.~/~. C ACCOUNT # d'"? ""7~ .c"e- /.;/ t? c'" ~ C ~ /' C'~~ ~/~6 e' ~ (for City purposes only) PURCHASE ORDER # G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2004\ESA ARC Flash Hazard Training Contract for Electric 12 04.DOC CITY OF ASHLAND PERSONAL SERVICES CONTRACT <$25,000 (\FORMS\contract for personal services)(rev'd 1/04) CITY OF ASHLAND, OREGON City of Ashland LIVING WAGE A L employers described b low must comply with City of Ashland laws regulating p yment of a living wage. ~per hour effective June 30, 2004 rA' (Increases annually every June 30 by the Consumer Price Index) Employees mu~t be paid a living wage: y For all hours worked under a service contract between their employer and the City of Ashland if the contract exceeds $15,964 or more. employee's time in that month working on a project or portion of business of their employer, if the employer has ten or more employees, and has received financial assistance for the project or business from the City of Ashland in excess of $15,964. y For all hours worked in a month if the employee spends 50% or more of the y If their employer is the City of Ashland including the Parks and Recreation Department. In calculating the living wage, employers may add the value of health care, retirement, 401 K and IRS eligible cafeteria plans (including childcare) benefits to the amount of wages received by the employee. For additional i formation: Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall, 20 East Main Street, Ashland, OR 97520 or visit the city's website at www.ashland.or.us. Notice to Employers: This notice must be posted predominantly in areas where it will be seen by all employees. G:\pub-wrks\en~l\dept-admin\ENGINEER\PROJECT\2004\ESA ARC Flash Hazard Training C I T Y 0 F CITY OF ASHLAND PERSONAL SERVICES CONTRACT <$25,000 (\FORMS\contract for personal servi ASH LAN D TASK ORDER No.1 City of Ashland Arc-Flash Hazard Analysis This Task Order pertains to the City of Ashland Professional Services Contract between the City of Ashland and ESA Inc., dated March 1, 2003, for general engineering services. ESA shall perform the Task Order services described below as part of the Professional Services Contract. This Task Order shall not be binding until it has been properly signed by both parties. Upon execution, this Task Order shall supplement the Professional Services Contract as it pertains to the following project description. PROJECT NAME: Arc-Flash Hazard Analysis SCOPE OF WORK: Provide arc-flash analysis for the City's water treatment plant and wastewater treatment plant in accordance with the requirements ofNFP A-70E and IEEE-1584. The analysis will include the following tasks: 1. One day site visit to collect necessary system information 2. Develop models of each electrical system from incoming service down through all 480V MCC and 480V panels. 3. Perform short-circuit analysis for each system. Any equipment found to be underrated will be noted although not all equipment will be inspected or modeled, so equipment duty evaluation will not be comprehensive. Complete short circuit tabulation by bus to be provided. 4. Review protective device coordination for all adjustable trip devices and make n~commendations for setting changes to improve coordination and arc-flash safety. 5. Perform arc-flash hazard calculations in accordance with IEEE-IS 84 and provide a tabulation of calculated flash hazard boundaries and Hazard Risk Categories for each bus. 6. Provide a complete written report documenting the results of our study. The n~port will also include detailed explanation of the appropriate Personal Protective Equipment (PPE) required for each hazard category. 7. Provide detailed arc-flash hazard warning labels suitable for installation on equipment analyzed in the study. The cost estimate for the study includes a estimated total of 100 labels at $5.00 per label. These vinyl labels are self- adhesive, weatherproof, and extremely durable. 8. Conduct a brief training session of approximately 4 hours for City personnel that vvill cover the basics of arc-flash hazards as well as the results of our analysis. 1 PERIODS OF SERVICE: The scope of services shall be completed within 90 days of the notice to proceed. PAYMENTS TO THE ENGINEER: The project cost is for a not to exceed amount of $4,500, for the Water Treatment Plant Arc-Flash Analysis, and $5,900 for the Wastewater Treatment Plant Arc-Flash Analysis, including reimbursable expenses. Any charges beyond the total amount of $10,400 must have written authorization from the City of J\.shland. This Task Order is executed this day of , 2004. ::TY O]LA1~ Name: G I' H l> GIt ( &.11\.,. A-- (~~' Title: G A AJ. MI/,(l sfAA-l-cJR..... Date: I~-.Y (Or ESA INC. By: ~./.t:Z~ Name: ~Yi td~i?Kco.,v$/t:.A- ' Title: -St.~QY' ~/{~ ~..:;..e.,f-' Date: LZ /Z, /z-oor 2 :.=--=-...::a:.__.................~.........,:t:ll'j ~.I.~.=-:.......I...eI._.... ~"t:.I. ... -..c...~ SAIF Corporation 12/21/2004 12:05 PAGE 1/1 SAIF Corporation ccrccJfDRATON 400 High St SE Salem, OR 97312-1000 Toll Free 1-BOO-2B5-B525 OREGON WORKERS' COMPENSATION CERTIFICATE OF INSURANCE CERlIFICA~TE HOLDER: CITY OF ASHLAND PUBLIC WORKS DEPT AlTN: DAWN LAMB 20 EAST MAIN ST ASHLAND, OR 97520 The polic:y of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of such policy. POLICY NO. POLICY PERIOD 936908 10/01/2004 TO 10/01/2005 INSURED: BROKER OF RECORD: ESA NW INC PO BOX 2110 CLACKAIIIIAS, OR 97015 ISSUE DATE 12/21/2004 LIMITS OF UABIU1Y: Bodily Injury by Accident $500,000 each accident Bodily Injury by Disease $500,000 each employee Bodily Injury by Disease $500,000 policy limit DESCRIP110N OF OPERA lIONS/ LOCA lIONS/SPECIAL ITEMS: IMPORTAI~T: The covE~rage described above is in effect as of the issue date of this certificate. It is subject to change at any time in the future. This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. AUTHORIZED REPRESENTATIVE ~...--- ACOBQM CER~TIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 12/21/2004 PRODUCER (503)635-3303 FAX (503)635-7491 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Oak Tree Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 155 "B" Avenue Suite 100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lake Oswego, OR 97034 INSURERS AFFORDING COVERAGE NAIC# INSURED ESA, Inc. INSURER A: Admiral Insurance Co PO Box 2110 INSURER B: Clackamas, OR 9~'015 INSURER c: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE:: AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~f~ ~~9;~ TYPE OF INSURANCE POLICY NUMBER P6>H~Y EFFECTIVE Pgk!fl EXPIRATION LIMITS GENERAL LIABILITY EOOOOOO1287-05 01/15/2004 01/15/2005 EACH OCCURRENCE $ 1,000,000 i-- DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY ,~ $ X I CLAIMS MADE [J OCCUR MED EXP (Anyone person) $ A X Professional PERSONAL & ADV INJURY $ - L iabil ity GENERAL AGGREGATE $ 1,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ I n PRO- nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - (Ea accident) $ ANY AUTO - ALL OWNED AUTOS BODILY INJURY - (Per person) $ SCHEDULED AUTOS - HIRED AUTOS BODILY INJURY - (Per accident) $ NON-OWNED AUTOS - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ tJ OCCUR D CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I WC STATU- I IOJ~- TORY IIMIT~ EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER ~ESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ~ertificate Holder shall be named as Additional Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Ci ty of Ash 1 andl ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Pub 1 i c Works De:partment BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 20 East Main Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ~/l7/ Steve LaCesa, CIC, LUTCF /LL 1 ACORD 25 (2001/08) @ACORD CORPORATION 1988 ACORD CER.TIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) TM 12/21/2004 PRODUCER (503)635-3303 FAX (503)635-7491 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Oak Tree Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 155 "B" Avenue Suite 100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lake Oswego, OR 97034 INSURERS AFFORDING COVERAGE NAIC# INSURED ESA NW, Inc. INSURER A: Valley Forge Insurance Co. INSURER B: P.O. Box 2110 INSURER C: INSURER D: Clackamas, OR 97'015 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~~~ ~~~~ TYPE OF INSURANlCE POLICY NUMBER PRH~Y EFFECTIVE Pgk!fJ' EXPIRATION LIMITS GENERAL LIABILITY B155170743 04/19/2004 04/19/2005 EACH OCCURRENCE $ 1,000,000 I-- X COMMERCIAL GENERAL LIABILITY DAMAGE T9.... RENTED $ 1,000,000 Uj CLAIMS MADE [~OCCUR MED EXP (Anyone person) $ 10,000 A PERSONAL & ADV INJURY $ 1,000,000 - GENERAL AGGREGATE $ 2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 I n PRO- nLOC POLICY JECT AUTOMOBILE LIABILITY B155170743 04/19/2004 04/19/2005 COMBINED SINGLE LIMIT - $ ANY AUTO (Ea accident) 1,000,000 - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) A - X HIRED AUTOS BODILY INJURY - $ X NON-OWNED AUTOS (Per accident) - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ =i ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY B155170743 04/19/2004 04/19/2005 EACH OCCURRENCE $ 5,000,000 ~ OCCUR D CLAIMS MADE AGGREGATE $ 5,000,000 A $ ~ DEDUCTIBLE $ X RETENTION $ 10,00~ $ WORKERS COMPENSATION AND I T"X~~T~J,~~~ I IOJ~- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER L,..DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ~ertificate Holder shall be named as Additional Insured as per form G-123127-B CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Ashland ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Public Works Department BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 20 East Main Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Ashland, OR 975~W AUTHORIZED REPRESENTATIVE ~/f7~ Steve LaCesa, CIC, LUTCF /LL 1 ACORD 25 (2001/08) @ACORD CORPORATION 1988 CNA For All the Commitments YO&j' Milke" G-123127-B (Ed. 12/02) IMPORTANT: THIS ENDORSEMENT CONTAINS DUTIES THAT APPLY TO THE ADDITIONAL INSURED IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT. SEE PARAGRAPH C., OF THIS ENDORSEMENT FOR THESE DUTIES. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT WITH PRODUCTS-COMPLETED OPERATIONS COVERAGE & BLANKET WAIVER OF SUBROGATION Architects, Engineers and Surveyors This endorsement modifies insurance provided under the following: BUSINESS ACCOUNT PACKAGE POLICY - BUSINESS LIABILITY COVERAGE FORM BUSINESS ACCOUNT PACKAGE POLICY - COMMON POLICY CONDITIONS A. WHO IS AN INSURED (Section C) of the Business Liability Coverage Form is amended to include as an insured any pmson or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement; but the written contract or written agreement must be: 1. Currently in effect or becoming effective during the term of this policy; and 2. Executed prior to the .bodily injury,. .property damage,. .personal injury. or .advertising injury. M B. The insurance provided to the additional insured is limited as follows: 1. That person or organization is an additional insured solely for liability due to your negligence specifically resulting from .your work- for the additional iinsured which is the subject of the written contract or written agreement. No coverage applies to liability resulting from the sole negligence of the additional insured. 2. The Limits of Insurance applicable to the additional insured are those specified in the written contract or written agreement or in the Declarations of this policy, whichever is less. These Limits of Insurance are inclusive of, and not in addition to, the Limits of Insurance shown in the Declarations. 3. The coverage provided to the additional insured within this endorsement and section titled DEFINITIONS - "Insured Contract II (Section F.8) within the Business Liability Coverage Form, does not apply to -bodily injuryM or Mproperty damageM arising out of the .products-completed operations hazardM unless required by the written contract or written agreement. 4. The insurance provided to the' additional insured does not apply to .bodily injury,. Mproperty G-123127-B (Ed. 12/02) damage, M .personal injuryM or Madvertising injuryM arising out of an architect's, engineer's, or surveyor's rendering of or failure to render any professional services including: a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications by any architect, engineer or surveyor performing services on a project of which you serve as construction manager; or b. Inspection, supervision, quality control, engineering or architectural services done by you on a project of which you serve as construction manager. 5. This insurance does not apply to Mbodily injury, M .property damage, M Mpersonal injuryM or .advertising injuryM arising out of: a. The construction or demolition work while you are acting as a construction or demolition contractor. This exclusion does not apply to work done for or by you at your premises. C. GENERAL CONDITIONS - Duties In The Event of Occurrence, Offense, Claim or Suit (Section E.2) of the Business Liability Coverage Form is amended to add the following: An additional insured under this endorsement will as soon as practicable: 1. Give written notice of an occurrence or an offense to us which may result in a claim or MSUW under this insurance; 2. Tender the defense and indemnity of any claim or .suW to us for a loss we cover under this Coverage Part; Page 1 of 2 11) 11) CX) N t') 11) ::!: ,.... t') ~ ;:; o o g CX) N (Q t') o N o o o iiiiiiiiiiiiiii --- iiiiiiiiiiiiiii - - - - - - - - - 3. Any person while employed in or otherwise engaged in performing duties related to the conduct of an "auto business", other than an "auto business" you operate; 4. The owner or lessee (of whom you are a sublessee) of a "hired auto" or the owner of a "non-owned auto" or any agent or "employee" of any such owner or lessee; or 5. Any person or organization with respect to the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. V. SECTION D. LIMITS OF INSURANCE is replaced by the following: SECTION D. LIMITS OF INSURANCE Regardless of the number of: a. Insureds; b. Claims made or "suits" brought; c. Persons or organizations making claims or bringing "suits"; or d. "Autos", the Hired Auto and Non-Owned Auto Liability Each Occurrence Limit shown in the Declarations is the most we will pay for damages under SECTION A. COVERAGES because of all "bodily injury" or "property damalge" arising out of the maintenance or use of a: 1. "Hired auto" by you or your "employees" in the course of your business; or 2. "Non-owned auto" by any person other than you in the course of your business, and arising out of anyone "occurrence". The limit of th is endorsement applies separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after G-110730-B (Ed. 02197) G-110730-8 (Ed. 02197) issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limit of Insurance. VI. Condition H. Other Insurance, of the Businessowners Common Policy Conditions, is replaced by the following: H. Other Insurance. This insurance is excess over any other valid and collectible insurance available to you. VII. Definition 8. "Insured contract" (SECTION F. DEFINITIONS) is amended by the addition of the following: g. That part of any contract or agreement entered into, as part of your business, pertaining to the rental or lease, by you or any of your "employees", of any "auto". However, such contract or agreement shall not be considered an "insured contract" to the extent that it obligates you or any of your "employees" to pay for "property damage" to any "auto" rented or leased by you or any of your "employees". VIII. The following definitions (SECTION F. DEFINITIONS) are added: "Auto business" means the business or occupation of selling, repairing, servicing, storing or parking "autos". "Hired auto" means any "auto" you lease, hire, rent or borrow which is used in connection with your business. This does not include any "auto" you lease, hire, rent or borrow from any of your "employees", your partners or your "executive officers", or members of their households, but only while used in your business or your personal affairs. "Non-owned auto" means any "auto" you do not own, lease, hire, rent or borrow which is used in connection with your business. This includes "autos" owned by your "employees", your partners or your "executive officers", or members of their households, but only while used in your business or your personal affairs. Includes copyrighted material of Insurance Services Office, Inc. with its permission. Copyright, Insurance Services Office, Inc., 1993. Page 2 of 2 CITY RE:CORDER'S COpy Page 1 / 1 ~A' CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541 ) 488-5300 PO NUMBER 05688 VENDOR: 006807 ESA INC, POWER SYSTEMS SPECIALIST POBOX 2110 ATTN ACCOUNTING CLACKAMAS, OR 97015 SHIP TO: Ashland Public Works (541) 488-5587 51 WINBURN WAY ASHLAND, OR 97520 FOB Point: Terms: Net Req. Del. Date: Speciallnst: Req. No.: Dept.: PUBLIC WORKS Contact: Paula Brown Confirming? No Arc Flash Training for the Water & Wastewater Plants Water Plant $4,500.00 Wastewater Plant $5,900.00 *Contract in conjunction with Electric Dept 10,400.00 BILL TO: Account Payabl1e 20 EAST MAIN ST 541-552-2028 ASHLAND, OR 97520 SUBTOTAL TAX FREIGHT TOTAL 10400.00 0.00 0.00 10,400.00 E 670.08.19.00.604100 E 675.08.19.00.604100 4500.00 5900.00 ~ L.~ ~1z.k- A~ orized Signature VENDOR COpy CITY Of ASHLAND NOTICE OF TRANSMITTAL TO: KARl OLSON PURCHASING DATE: PROJECT: JOB NO.: SUBJECT: DECEMBER 28, 2004 ARC-FLASH HAZARD TRAINING CONTRACT DOCUMENTS & REQUISITION THE FOLLOWING ITEMS ARE BEING SENT TO YOU: Kari, Attached is the original contract, requisition and insurance certificates from ESA for arc-flash hazard training. Please issue a Purchase order and forward it to my attention. ENCLOSED -----1- UNDERSEPARAT~COVER REMARK.S: COPIES TO: Department of PUb~iC ~orks By: Dawn Lamb Title: Administrati \ c ssistant PUBLIC WOR~;S 20 E. Main Street Ashland, O~an 97520 www.ashland.or.us G:\pub-wrks\el1<~\dept-admin\ENGINEER\PROJECT\2004\ESA ARC Flash Hazard Training IH req NOT 12 04.DOC Tel: 541-488-5587 Fax: 541-488-6006 TTY: 800-735-2900 rj.' CITY Of ASHLAND REQUISITION No. PW - FY 2004 Department ELECTRIC/PUBLIC WORKS Vendor ESA INCORPORATED 1600 SW WESTERN BL YD STE 160 CORY ALLIS OR 97333 Account No. 690.11.18.00.602400 Date December 6, 2004 Requested Delivery Date ASAP Deliver To PAULA BROWN Via (~"J c, /..;~? .ct (* Note: Please allow approximately two(2) weeks for delivery on items not '~ (;i+ I {X' ~ ,} Lt') ~'! generally caried in stored, and approximately two (2) months on printing jobs.) ~. ''7';, V')) , It) [.Ii <v l ..; I {;L" ~ ~ ,> 'j L, Item No. Quantity Unit Description Use of Purchasing Office Only Unit Price Total Price PO No, ARC FLASH TRAINING FOR THE WATER & W ASTEW A TER PLANTS Water Plant $ 4,500.00 Wastewater Plant $ 5,900.00 Contract in conjunction with Electric Department TOTAL $ 10,400.00 for Kari: BID IRFP / EXEMPT: Exempt Contract Start Date: January 3, 2005 Contract Completion Date: 4-Apr-05 Insurance on file: ~ YES I NO Project No: N/A Job No. Unit No. I hereby certify that the above items are necessary for the operation of this department and are budgeted _J /~/"7 l lJl:Z-<"f ;7,. I / .~ ;' Department Head or Authorized Person Issued By Date Received By ~~,